| Name: | MDRI LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jun 2023 (2 years ago) |
| Identification Number: | 001758635 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 1407 SOUTH COUNTY TRAIL #431, EAST GREENWICH, RI, 02818, USA |
| Purpose: | MEDICAL PRACTICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Blackstone Valley Medicine (trading name, 2024-03-04 - ) Greenwich Bay Medicine (trading name, 2024-03-04 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922887157 | 2023-09-26 | 2024-03-18 | 1407 S COUNTY TRL STE 431, EAST GREENWICH, RI, 028181679, US | 1407 S COUNTY TRL STE 432, EAST GREENWICH, RI, 028181679, US | |||||||||||||||
|
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| Phone | +1 401-398-0288 |
| Fax | 4014717365 |
Authorized person
| Name | DESIREE COFFEY |
| Role | PRACTICE MANAGER |
| Phone | 4013980288 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH RAHEB, ESQ. | Agent | 650 GEORGE WASHINGTON HWY SUITE 200, LINCOLN, RI, 02865, USA |
| Number | Name | File Date |
|---|---|---|
| 202455351610 | Statement of Change of Registered/Resident Agent | 2024-06-06 |
| 202455351520 | Annual Report | 2024-06-06 |
| 202447745410 | Fictitious Business Name Statement | 2024-03-04 |
| 202447741980 | Fictitious Business Name Statement | 2024-03-04 |
| 202336671750 | Articles of Organization | 2023-06-08 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
